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General NPI Number Information
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NPI Number | 1437043627
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Entity Type | Individual
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Provider Name | RACHEL OJITO BAEZ
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1887 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5530
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Country | US
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Telephone | 772-463-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 5508 NW EAST TORINO PKWY APT 304
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-4604
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Country | US
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Telephone | 754-304-1946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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